Thứ Hai, 30 tháng 9, 2024

Master of Health Administration (MHA) - Struggling to find job after graduating

Hey all,

I graduated with my Master of Health Administration four months ago and haven't been able to find a job yet. I interned with the VA during my program, but they were on a hiring freeze so they couldn't convert my job to a full-time offer.

I wanted to ask if there is anything I could do to strengthen my resume while I'm looking? I don't want to have a huge gap where I'm not working, and want to fill it with something meaningful. I am also considering pursuing further education if I can't find a job. Does anyone have any advice? Thanks in advance!



https://ift.tt/p8sy5JV Submitted September 30, 2024 at 04:30AM by wisetex https://ift.tt/iAmZKYR

Is it normal for a doctor to request payment upfront before surgery?

I (28F) developed a rare medical condition right after I had graduated college. I have had 7 surgeries in the past 2 1/2 years after getting diagnosed. The hospital that has done most of my surgeries is a nonprofit and although they had requested a down payment for my surgery, it wasn’t anything too crazy. There was even one time where there was an issue with my credit card (the bank just sent me a new one and I accidentally brought the old one), and the hospital just told me they would bill out.

Fast-forward, not even a year later I became almost completely disabled and went on short-term disability and medical leave for a year. In that time I had two more surgeries, but I had ended up on Medicaid and had my primary insurance as well, so I didn’t have to pay anything. After the surgeries I managed to return to work and eventually became full-time again with job accommodations. This didn’t last more than 7 months and I had to have two more operations in December of last year. Once again, I started doing better, but I could tell something was wrong. Turns out one of my nerves was damaged during surgery.

Here is where I’m having problems. I went back to see one of the doctors who did one of my surgeries. He operates out of a private practice. He told me that I need to have surgery soon (like now), otherwise my nerve will lose all function. it’s becoming a lot more painful and I’m becoming disabled again. I scheduled surgery with him, but right before I got an email with a $1700 bill. I called and requested a payment plan, and the lady was very nice and told me they can work with me as long as I pay half upfront. I agreed. Well, a few hours later the doctors office called me and requested payment. I told them I had already set up a payment plan, but they told me that was just the facility fee. She asked me for a $1900 physicians fee upfront, no payment plan. I had to cancel because I can’t afford it.

I just managed to pay off all my outstanding medical debt besides what’s on my credit card. My question is, should I try and find a doctor at a nonprofit hospital? Is it normal for them not to bill out and request payment before surgery?



https://ift.tt/p8sy5JV Submitted September 30, 2024 at 03:05AM by Blackbird_Ella https://ift.tt/cTJw0OD

How a dermatology clinic used our services and saved $40000 annually

Running a clinic is more than just treating patients. Managing the constant stream of calls, scheduling, follow-ups, and paperwork can be overwhelming for a small admin team. Recently, we worked with a dermatology clinic that was drowning in these operational tasks and on the verge of hiring additional staff to cope—but here’s how we helped them without adding anyone to our payroll.

The Challenge: High Costs and Burnout

The clinic had a team of two full-time front desk staff, but they were stretched thin. During peak times, patient calls were going unanswered, follow-ups were delayed, and administrative errors were creeping in. They were considering hiring another staff member just to keep up, but that meant more salary, benefits, and training costs—easily $40,000+ a year.

The Solution: Implementing a Virtual Support System

Instead of hiring a new full-time employee, we advised them to restructure their workload and implement a virtual assistant strategy using existing platforms and part-time contractors. Here’s what we suggested:

1.  Reallocating Tasks to Virtual Assistants
• We helped them source specialized virtual assistants for specific admin tasks—like patient scheduling, insurance verification, and managing follow-up calls. Instead of relying on one person for everything, they broke down their needs and delegated tasks to VAs who were paid hourly and only worked when needed.
2.  Implementing Automated Systems for Routine Tasks
• We recommended integrating automation tools to handle appointment reminders, intake forms, and routine follow-ups, which further reduced the time the virtual assistants needed to spend on repetitive tasks.
3.  Using On-Demand Support During Peak Hours
• Instead of hiring a new employee for peak hours, they engaged virtual assistants only during busy times. This “pay-as-you-go” model allowed them to handle high call volumes without a permanent hire.

The Impact: 30% Cost Savings & a More Efficient Operation

Within three months, the clinic saw a 30% reduction in admin expenses. Here’s why:

• Flexible Support: They only paid for the virtual assistants’ time when they needed them—no fixed salaries, no benefits.
• Automation Cut Workload: The automated systems handled 50% of the routine administrative tasks, saving hours of manual work every week.
• Streamlined Workflow: The front desk staff could focus on high-value patient interactions instead of getting bogged down in administrative details.

By strategically using virtual assistants and technology, this clinic avoided the need to hire a full-time staff member, saving them over $30,000 annually. The best part? Their current front desk team is less stressed and more engaged in patient care.

If you’re considering adding more admin support to your practice, it’s worth exploring how virtual assistants and automation could work for you. Have you tried it? Would love to hear what’s worked (or not) for others in similar situations!



https://ift.tt/p8sy5JV Submitted September 30, 2024 at 02:10AM by Automatic-Arm-1400 https://ift.tt/TNtFlxk

Chủ Nhật, 29 tháng 9, 2024

Thứ Bảy, 28 tháng 9, 2024

NPR News: Meet the astronauts preparing to travel farther from Earth than any human before

Meet the astronauts preparing to travel farther from Earth than any human before
This time next year, NASA plans to send its first crewed mission to the moon. NPR visited the facility to find out how the astronauts are preparing for this high stakes exploration.

Read more on NPR

Company healthcare for me, marketplace for my wife?

I recently started a new full time position, and I’m picking health insurance for me and my new wife.

I can either 1) Pay $650/mo for us to be on my company’s health insurance, or 2) pay $100 to put me on their deductible-only plan, then pay ~$300 to put her on a marketplace plan (so she can still have regular doctors visits) (or 3, only get marketplace for her ~$300).

She’s (26f) in much worse shape medically than me (joints, hormones, diabetes, therapy), whereas I’m a pretty standard 28(m) yr old with few medical complaints at the moment.

Does anyone know if we can split sources like this? Am I crazy for considering it?



https://ift.tt/J46PevV Submitted September 28, 2024 at 10:29AM by Special-Ad3806 https://ift.tt/jmRwHsg

Am I being double billed?

So a few months ago, I went to a pulmonologist and had the usual stuff done, covered by insurance. This past month, I received a bill in the mail for $10.00. OK, fine. I pay it off by sending it with my card info through the mail; the payment is debited on 9/13. Just today, I receive another $10.00 from them, for the same exact things, even the same exact invoice number! Is this a mistake, or are they deliberately trying to double dip? Can I safely ignore it, or must I call them and plead my case?

Thanks.



https://ift.tt/oVHehXf Submitted September 28, 2024 at 04:52AM by silverfang789 https://ift.tt/9SxAF1s

Thứ Sáu, 27 tháng 9, 2024

NPR News: A 2023 Supreme Court ruling could strip U.S. wetlands of federal protections

A 2023 Supreme Court ruling could strip U.S. wetlands of federal protections
A new study finds that more than 90 million acres of wetlands — nearly all that exist in the Lower 48 U.S. states — may have lost federal protections after the Supreme Court’s recent ruling.

Read more on NPR

Medical Imaging Scholarships

Hi everyone! I am in search of scholarships in medical imaging and was wondering if anyone has had any luck. If it helps I am looking for ones on a national level (USA) or state (MA) for undergrad students. I appreciate any insight. Thanks so much!



https://ift.tt/Sy0Zp97 Submitted September 27, 2024 at 03:49AM by Big-Fishing9196 https://ift.tt/7iz5ojF

Missouri and Kansas keep losing pharmacies, and a key part of health care

Over the last decade, Kansas City has experienced the closure of nearly 100 pharmacies, including stores run by major chains like CVS and Walgreens. The closures have left some neighborhoods, particularly those with lower incomes, without health services, such as prescription medications, vaccinations and basic health consultations nearby.

Click here to read the full story and understand the impact these closures are having on local communities – and what it means for the future of health care in Kansas City.



https://ift.tt/Sy0Zp97 Submitted September 26, 2024 at 11:35PM by kansascitybeacon https://ift.tt/ubOc02B

Thứ Năm, 26 tháng 9, 2024

Has anyone read the book Good Energy yet?

The books official title is - Good Energy: The Surprising Connection Between Glucose, Metabolism and Limitless Health

I’m asking this because I’ve become hyper aware of how some providers will just throw meds and procedures at a patient without ever stopping to think about other factors of the patients life such as living situation, diet, exercise level, and sleep patterns.

I’ve worked in healthcare for many years and I’ve noticed this past year that everyone is worried about the cost of healthcare, but do not seem all that invested in the actual patients wellbeing.



https://ift.tt/Sy0Zp97 Submitted September 26, 2024 at 09:12AM by radioflea https://ift.tt/Zu09tcv

NPR News: California’s first plastic bag ban made things worse. Now it’s trying again

California’s first plastic bag ban made things worse. Now it’s trying again
California and other states -- and some cities -- have learned a lesson: Bans on plastic bags don’t always go as planned. In fact, California's original ban made things worse.

Read more on NPR

Thứ Tư, 25 tháng 9, 2024

Wow, Really Impressive Healthcare System, America!

Title:

Oh, America, the land of innovation! You’ve really outdone yourself this time. With a GDP larger than the next dozen countries combined, you'd think providing basic healthcare for your own citizens would be a breeze, right? But no, that’s just too logical for the world’s richest nation.

Instead, let’s put all our energy into attacking pharmaceutical companies like Novo Nordisk for the high cost of insulin, Wegovy, and Ozempic. Sure, they’re price-gouging jerks, but here’s a crazy thought: how about fixing our own healthcare system first? You know, like every other developed country has managed to do—without bankrupting their citizens over a doctor’s visit or a prescription refill.

Meanwhile, we let the food industry pump out cheap, unhealthy crap, making our population fatter and sicker by the day. Why regulate food prices or promote healthy eating when we can just rely on weight loss drugs to fix it all, right? Taxing junk food and subsidizing healthy options might actually help, but why would we do that when Big Food needs their profits? After all, what’s a little diabetes and heart disease when we can keep fast food and soda companies happy?

So, congrats, America! You’ve shown the world that even the wealthiest nation can have a healthcare system that’s basically a dumpster fire—and one that keeps its citizens sick and then blames pharma companies for the mess. Bravo! 👏



https://ift.tt/y9UGNfX Submitted September 25, 2024 at 01:29AM by Gorgar_Beat_Me https://ift.tt/nx03NrM

Expat returning to USA. Will ACA work for me?

I am a self-employed American citizen, currently covered by national health care in my host nation, and am considering moving back stateside. I don't know yet to what state, but do know that I obviously will need to get health insurance. I will not be getting employer-based coverage.

The healthcare.gov site is unhelpful, as it seems to require declaring the state of residency before giving out any substantive info.

Does anyone have any tips on how to go about this?



https://ift.tt/y9UGNfX Submitted September 25, 2024 at 12:12AM by Springfield80210 https://ift.tt/NEOdPGY

Thứ Ba, 24 tháng 9, 2024

Need help with uncooperative medical company

I receive bi-monthly infusions and have been getting them from a company for about 2 years.

The way it has always worked is that they bill my insurance, then the company takes the bill and sends it to my co-pay assistance program so that the bill is mostly paid, and then that gets billed to me.

However, back in February after I changed insurance and got a new FSA account, they billed my insurance, did NOT bill my co-pay assistance, and then sent the bill to my FSA account, which auto sends me a check for however much was requested to pay the bill. I had never given them my FSA information and have never used an FSA in the past, so that was confusing. The bill was also over $2000 and my FSA only had $1500, so all my FSA money was removed from my account and I received a check for $1500 in the mail.

I noticed in June when I received the check and gave the company a call, in which they said they would give me a refund into my FSA. I have called about twice a month since, every time being told I would eventually see a refund, and have not gotten any money back.

Since we are approaching the end of the year, that FSA money is no longer usable after, so I am very worried I am simply going to be robbed of $1500.

Does anyone know what I can do? I tried filing a complaint with the BBB, which is how I got a similar issue fixed a year ago with this company, but they did not respond this time.

I have been pretty stressed about this and don’t know what to do, so any advice is helpful.



https://ift.tt/yWYjh2w Submitted September 24, 2024 at 12:18AM by OkCan4134 https://ift.tt/wezdTmZ

Thứ Hai, 23 tháng 9, 2024

Unexpected $2,900 Bill After Echocardiogram (CPT 93306) - Conflicting Information from Insurance, Please help!

I recently had an echocardiogram due to a family history of heart issues. Fortunately, everything came back normal, but I received a $2,900 bill for the procedure (CPT code 93306). The bill is split between two charges: one for the technical part of the procedure and another for the review, which is around $2,800—my main concern.

Before the test, I received a letter from a third-party working with my insurance stating that the procedure was pre-authorized and would be covered. When I used my insurance's cost estimator, it showed that I’d be responsible for about $470 out-of-pocket, which would apply toward my $3,500 deductible. The estimator supposedly factors in the deductible and other costs, so I was surprised when I got the full bill.

I assume this test falls under diagnostic rather than preventive care since preventive care would be fully covered. However, I’m having trouble determining whether this procedure fits under "Category A or B" as defined by the government for preventive services. It’s also unclear if the correct billing codes were used for the discount on my insurance's side, as the discount applied by my insurance seems low (only $600), whereas I usually see discounts closer to 50–80% of the total bill.

I'm left feeling confused by the mixed messages:

  1. The cost estimator predicted a much lower out-of-pocket cost.
  2. The pre-authorization letter suggested the procedure would be covered.
  3. The insurance discount seems unusually small, raising concerns that there may have been an error in coding.

Should I be considering an internal appeal with my insurance, or is there a better approach, such as going through a state agency? Any advice on how to navigate this would be appreciated.



https://ift.tt/yWYjh2w Submitted September 23, 2024 at 10:07PM by OrukiBoy https://ift.tt/LAcmlxJ

NPR News: The complex, colorful puzzle of recycling EV batteries

The complex, colorful puzzle of recycling EV batteries
Electric vehicle batteries will all, eventually, reach the end of their lives. When that happens, they should be recycled. But what breakthroughs could make that happen cleanly, efficiently — and close to home? Today, business correspondent Camila Domonoske takes us on a tour of one company trying to crack the EV battery recycling puzzle — to learn what this case study can tell us about the larger battery picture. Plus, why recycling is kind of like wresting with Lego bricks. Read more of Camila's reporting on EV battery recycling. Have a specific science story you want us to dig into? Email us at shortwave@npr.org and we might cover your idea on a future episode!

Read more on NPR

Chủ Nhật, 22 tháng 9, 2024

NPR News: Money for cutting-edge climate technology could dry up in a second Trump term

Money for cutting-edge climate technology could dry up in a second Trump term
A hydrogen plant in Utah could offer a new path to slash fossil-fuel pollution. But federal funding that was critical for projects like this one could dry up if Donald Trump is reelected.

Read more on NPR

Need help--I can't afford what is becoming an increasingly necessary medical visit, and am avoiding it as a result

To preface, I am from Kentucky if that is relevant.

Since the spring/early summer of 2020, I have been dealing with an ingrown toenail. I know, how does it get this bad???? Truth is, I'm not really sure. I'm in college now (I was in high school at the time) and it's becoming an increasingly urgent matter, but I'm a broke college kid who can't afford to pay the visit to have a procedure done to correct it.

Being in college, I'm distancing myself from home due to personal matters. My insurance, however, is still as a dependent of my mother, whom I do not want to have informed of this visit or procedure whatsoever. Insurance sends her a bill in the mail to my old home when I use it, so I'm discouraged from using insurance, but I also know that this would be an expensive visit that I cannot afford the debt for.

I'm kind of at an impasse. For a while I considered going to an emergency room and just claiming no knowledge of personal details (claiming uninsured, living at dorm with no permanent home outside of the dorm, and refusal to provide accurate personal identifying information [e.g. lying about my name, saying I dont know my SSN, have no contact with parents, etc]).

What is everyone's advice?

eta: I forfot to mention why this is becoming increasingly urgent. For four years it honestly wasn't a MAJOR bother. Sure, stubbing my toe became exponentially worse and I would have to be very careful with physical contact on that foot, and it meant I could only ever wear dark socks again, but the only other thing it ever really hurt was my self image. I used to love swimming and being in water, but it's made me a complete hydrophobe. Well, starting this past July it's been increasing in the amount of pain I experience. I'm losing sleep because it becomes agonising when I lie flat. When i stand without shoes, it feels fine--this is actually the best relief I get for the pain. But as soon as I lie down to sleep, I'd rather just sever the whole foot.



https://ift.tt/3JpG6mX Submitted September 22, 2024 at 05:48PM by UnderwaterCrabRave https://ift.tt/Kqtzb6D

Can biopsy results be held until reviewed by the physician?

So, having seen a mixed bag of responses to this question, I figured, why not ask Reddit?!?!

I had a surgical biopsy performed this past Monday morning. I was told that I could expect the pathology results by Wednesday or Thursday, which mirrored my own experiences in the field (admittedly in the distant past). Not seeing any results in MyChart by Thursday, and anxious to know the outcome, I called my physician’s office (not my PCP, but the specialist who did the biopsy) and was told to contact his surgical nurse. I called and left voicemail.

I called again Friday morning and again no answer, but felt it rude to leave a second message. Taking a shot before the weekend hit, I called again Friday afternoon, and successfully reached the nurse. She explained that the results were in, but they had not yet been reviewed by the doctor, and she could not release them to me over the phone (which I expected and understood) but that they could not be released to me through MyChart either because they had not been reviewed. She then added that the doctor was not in that day and would not be able to review until at least Tuesday.

I can fully understand people that do not wish to review medical test results on their own, and the desire for a doctor to avoid situations where people get negative results and freak out, or even just receive results which they do not understand (and likely will be assumed to be the worst, and cue the freak out). At the same time, while I’m happy to go over my results with my doctor at some point, I have enough of a medical background that I can review test results and discern good vs. bad vs. ambiguous to at least a B+ level, and can either relax or prepare for next steps and be in a better position to ask questions when the resulting conversation does (eventually) happen.

In reading on my own, I’ve seen varied interpretations of the 21st Century Cures Act and suggestions that results MUST (their words) be released as soon as available, regardless of if they’ve been reviewed by the referring physician or PCP. Can anyone shed some definitive light on this before I contact my physician’s office?



https://ift.tt/3JpG6mX Submitted September 22, 2024 at 12:16AM by space-for-rent https://ift.tt/N5ZY9xF

Thứ Bảy, 21 tháng 9, 2024

CVS Caremark calls legit?

My wife and I have been receiving many calls supposedly from CVS Caremark where they ask us to verify our zip code and then start asking very specific questions about the medications we are taking. They say they authorized by our insurance insurance provider and already know all the specific medications we are taking.

Then they ask things like, why are we taking them, when did we start taking them; when do we take them, what are the underlying conditions, etc.

I am reluctant to answer any of these questions because A) if they are not legit then its very personal information that we don’t want out there B) It feels like if it is legit then it may be used by our insurance provider to deny coverage if we say the wrong thing.

Has anyone else experienced these calls? We get them at least once or twice a week and just feels off having to give such personal information over the phone when we have no ability to confirm who is on the other end.

Any advice would be much appreciated!



https://ift.tt/ngflC9V Submitted September 21, 2024 at 01:29AM by snaggletoothygrin https://ift.tt/b7dygA0

NPR News: A massive baby penguin named Pesto is inhaling fish and winning hearts

A massive baby penguin named Pesto is inhaling fish and winning hearts
Pesto, who weighs 46 pounds at just nine months old, has been on display at an Australian aquarium since April. As he grew, so did his social media fanbase — especially after a recent gender reveal.

Read more on NPR

Thứ Sáu, 20 tháng 9, 2024

NPR News: NASA's 'Hidden Figures' awarded Congressional Gold Medals for pioneering space work

NASA's 'Hidden Figures' awarded Congressional Gold Medals for pioneering space work
A group of Black female scientists and mathematicians known as NASA's “Hidden Figures” were honored Wednesday with Congressional Gold Medals, the highest award given to citizens by Congress.

Read more on NPR

Surgery costs and questions

So, my husband had to have reconstructive surgery on his pinky to create a new joint. I knew this wasn't going to be inexpensive.

Got the bills, a separate one from the surgeon for about $3500 (owe $900 of it). And a one that I assume is from the facility, for around $25k.

This is where I get confused, it has a great itemized breakdown of prices for Anesthesia/medical equipment/Recovery room but under one it just says "Minor Procedure" for $15k with one itemization about OR units.

It's by far the most expensive part, with few details. Spoke to someone who said it was billed with two procedures codes of $7500 a piece or so but they would have to get back to me.

What should I ask? Is this the facility fee? Because it's a lot more than what the surgeon billed us for.



https://ift.tt/UzWYoEg Submitted September 20, 2024 at 12:20AM by ashrey https://ift.tt/K5c1bfR

Thứ Năm, 19 tháng 9, 2024

Are there any faults or holes in my 5 year plan?

Im currently a senior in highschool looking do become a dentist, thats my big goal but thats beyond the 5 year mark so lets put a pin in it and revisit it later. Occupationally wise i’m currently making 18.50 an hour as a nursing assistant working anywhere from 18 hours a week to 30+. I want to get my dental assistant certification and there is a class i’ve been looking at thats $4,295 and has a required downpayment of $2,000, with the option to do 4 monthly payments at $572.75 on top of a car payment of about $500 as well. This class runs from Jan-March and would give me roughly 3 months of experience before I move out on my own in Jun/Jul of 2025. Im moving to Chicago to complete my undergrad at UIC as a part time student, I expect to complete it in 5 years but I’m okay with 6 years. The reason I want to go as a part time student is so that I can afford to live on my own or with a roommate. Avg salary for a dental assistant (DA) in Chicago is 38k a year which is plenty for me. I think i have about 2 thousand dollars in my accpint but i wouldnt know since my dad refuses to let me access to it. In fact all my paychecks go directly to his account and he gives me what doesn’t go to my car payment. I have an account through Chase because I want to start on my credit journey as soon as I turn 18 so i can use credit to my advantage, but my entire family on my dads side tells me not to put any money into that account since its through my mom and they think my moms entire goal in life is to fuck me over as much as possible. Sure my mom often has her own interest above mine but shes also the woman who gave birth to me and also has my best interest at mind sometimes. Another reason to work full time and be a dental assistant is because I know my academics wont be as competitive so I’m already getting shadowing and volunteer hours and I want to get work experience so that I’m as competitive as possible. I know that If i have 5-6 years of work experience before applying to dental school ill be able to be competitive due to the fact that I know a lot of dental students go strait from highschool to undergrad to graduate programs. Do you see any flaws in this plan, please be honest. The only reason i ask a bunch of strangers is because every time in the last 2 years i’ve brought up any plans regarding my future my family tells me that i wont be able to do it and to just play it as safe as possible. People with little dreams never accomplish anything big, and people who always play it safe never accomplish anything worth more. People tell me to not take advice from people who aren’t in the positions i want to be in, and none of my family have graduated college let alone gotten into the medical field. People who are successful in the medical field and business field however do tell me that i have a good head on my shoulders and a good plan. Its hard not to take my families criticisms to heart since they are people i care about but at what point to i leave them and their negativity about my future.



https://ift.tt/UzWYoEg Submitted September 19, 2024 at 05:28AM by Monkeythief1201 https://ift.tt/tLM2KZa

Picking A Health Plan in Chicago

I am currently eligible for savings on a Silver/Gold plan through the marketplace. I am a bit indecisive right now and am hoping for some insight. I have heard bad things about Molina which is the top recommendation based on my credentials. I have had the Medicaid version of Aetna Better Health before, and was considering using their silver plan now that I am no longer eligible for Medicaid. Blue cross/Blue Shield is available (which I’ve heard great things about) but they only cover my Vyvanse prescription and not my inhaler. I don’t visit the doctor often but would like to get some blood tests done soon for a concern I have. I am having a hard time deciding which would be the most accessible to doctors/hospitals near me in Chicago. Any advice would be appreciated, Thanks!



https://ift.tt/hZLrD4g Submitted September 18, 2024 at 11:38PM by a_wets https://ift.tt/qtXYEWv

Thứ Tư, 18 tháng 9, 2024

It's about to hit the fan in Georgia

I just saw a couple of blurbs in the news locally in Atlanta, and until last night I had not even heard about this...

Apparently, as of November 1st, residents in Georgia who have been using the healthcare.gov site to get insurance will no longer be able to do so. Everyone who has ACA insurance will be referred to a new site or updated site or whatever, that will be run completely by the state of Georgia. We will have to get our insurance through brokers and other means similar to that.

This cannot possibly end well. Georgia has done everything from imposing the 6-week law for reproductive healthcare, to cutting back heavily on people who can get Medicaid and other assistance. My only guess is that a ton of people, most likely myself included, will lose their insurance this coming year.

Article: https://oci.georgia.gov/press-releases/2024-08-14/georgia-access-launch-state-based-exchange-november



https://ift.tt/hZLrD4g Submitted September 18, 2024 at 12:25PM by PickleManAtl https://ift.tt/6vh9EDi

Need to find an article of a reputable news source that addresses issues with the US healthcare system within the last three months

This is for an HLAD class in college just need recommendations and links for articles so I can pick one to cover for my assignment because good articles are a little difficult to find just through Google searches. Also idk if this is appropriate for this subreddit but I don't really know what other subreddits to ask.



https://ift.tt/hZLrD4g Submitted September 18, 2024 at 03:57AM by rathtane https://ift.tt/VReINAW

Thứ Ba, 17 tháng 9, 2024

Seeking Advice on Managing Insurance Denials in Healthcare

I'm currently exploring solutions for managing insurance denials in the healthcare sector and would love to hear from those with experience in this area. Specifically, I'm interested in understanding how different organizations handle these denials and the tools they use. Here are a few questions I have:

How do you typically handle a denial of insurance from the payee? What steps do you take to resolve it?

What software or tools do you use for denial management? How effective have they been?

If you could automate any part of the denial management process, what would it be and why?

Any insights or experiences you can share would be greatly appreciated. Thanks in advance for your help! Open to DM



https://ift.tt/JDjRIgM Submitted September 17, 2024 at 04:59AM by hypoa https://ift.tt/gU4xOc6

Do I have grounds to file for Medical Negligence

I went to the ER this Friday due to some panic (I got a call that my spleen was enlarged). I had cancer in the past so it was very alarming & panic got the best of me. I got this doctor that I'll refer to as Tim. Tim came in when I was with my GF in the room getting my vitals taken and he'd make really judgmental faces as I recalled my reasoning to come to the ER. I accidentally said MRI instead of a ct-scan & he constantly corrected me "MRI's don't do that.. but go on". He was walking out and I thanked him for his help but he left without saying a word (He does this twice). After some time, a nurse escorted me to the ct-scan machine and we get the scan done. I went back to my room and waited an hour for the results, hoping that nothing was wrong with me. Tim then comes in and tells me that my white bloodcell count is 3000, and stared at me like I knew what that meant at the time, He then rambled about how that was normal for him in the ER and that he's seen far worse, mocking the nurse line I called to get recommendations on whether I should go to the ER or not. At the end of it he notified that everything was fine, I asked if it my spleen was at any risk of rupturing and Tim said "Unless you're in the NFL or a boxer which you're not, I wouldn't be worried. I thanked him once again and he just walked out without any acknowledgement. If it ended there I wouldn't be writing that, On my way to school today I received a phone call from my oncologist, They told me that my readings from the ER are very concerning and urged me to set up an appointment with them. I was curious as to what they were referring to, I took the doctors word of me being "Fine" and nothing to worry about, but on my discharge papers at the very bottom says "Multifocal lymphadenopathy throughout the chest and abdomen with Splenomegaly. Findings are concerning for lymphoma. Focal opacity in the left upper lobe is nonspecific, correlate clinically, Multilevel bilateral indeterminate pulmonary nodules." I guess I expected to be told that I was sick so I could take immediate action, but instead I was not told about anything regarding the lymphoma, inflammation of lymph nodes or the severity of the enlarged spleen. I looked up Tim and I saw multiple 1 star reviews, about how bed side manners were nonexistent, how he complained to his patient about him not wanting to be there on a Sunday while one of his patients were suffering internal bleeding, and how condescending he was. I feel like he won't stop as these reviews span way back to 2017. I feel like I was not thoroughly informed on the severity of my issues, had I known that there was a cause for concern I'd be able to take action as soon as possible instead of sitting on it for a few more additional days thinking that I was just overreacting. Would this be enough to open a medical negligence case? I want to see through that no one else gets treated the way I and other patients of his were treated under his practice.

TL;DR I went to the ER due to concerns about my enlarged spleen. The doctor, Tim, was dismissive, made condescending remarks, and didn’t inform me of serious findings on my CT scan. Later, my oncologist called, saying the results were concerning, with potential lymphoma, which Tim never mentioned. I found multiple bad reviews about his behavior and lack of care. I’m wondering if this could be grounds for a medical negligence case, as I wasn’t properly informed about my condition and could’ve acted sooner.



https://ift.tt/JDjRIgM Submitted September 17, 2024 at 03:17AM by Papongos https://ift.tt/sHR83b4

I'm in my early 40s, with no underlying conditions, no injuries, non-smoker, reasonably healthy... how much should I be paying for US health insurance?

As the title says. I'm a freelancer and don't qualify for any employee plan. Fortunately, I don't need prescription meds or regular checkups for any pre-existing condition.

All my searches have led to paying $800+ for the most basic healthcare plan, and I just don't get it. Maybe I'm doing something wrong. I really just need a plan for emergencies (hit by a car, appendicitis), but I make too much (not much at all) to qualify.

Any advice? What monthly cost range should I be finding?



https://ift.tt/BOU4jiS Submitted September 17, 2024 at 12:16AM by Always_travelin https://ift.tt/FIxtUus

Thứ Hai, 16 tháng 9, 2024

NPR News: Climate change is one reason for hotter oceans. But there are others

Climate change is one reason for hotter oceans. But there are others
Hurricane season is heating up: Hurricane Francine hit Louisiana last week and dumped rain across the South, and forecasters expect more stormy activity in the Atlantic in the next few weeks. A big factor in this stormy weather is our extremely warm oceans. Scientists know climate change is the main culprit, but NPR climate correspondent Rebecca Hersher has been following the quest to figure out the other reasons. Hint: They may involve volcanoes and the sun. Read more of Rebecca's reporting on this topic. Questions about hurricanes or other weather disasters? Email us at shortwave@npr.org – we'd love to hear your ideas!

Read more on NPR

Anti-radiation headphones

Reduced radiation earbuds

I've tried anti-radiation airtube earbuds and the quality isn't that great. If I use wired earbuds will they have the same radiation as wireless earbuds? I'm afraid of buying other airtube earbuds because they will all have the same poor quality. What would you recommend headphone wise to reduce radiation?



https://ift.tt/BOU4jiS Submitted September 16, 2024 at 04:46AM by swurvice https://ift.tt/lGcesiC

Chủ Nhật, 15 tháng 9, 2024

What have your place of work done to make you feel safe?

My friend was was a practice manager during the pandemic and delt with some pretty difficult patients, to put it mildly. I wont go into details but the company she worked for would even agree to pay for a security guard. The topic of safety in a healthcare setting came up and I was wondering what other companies were doing, to make their staff feel safe.



https://ift.tt/PEgiz26 Submitted September 15, 2024 at 08:11AM by nouvelle_tete https://ift.tt/0ceAZhT

To everyone who wonders why doctors are always late!!

I’ve been a MA for a while, have assisted for different doctors. Many people will say that doctors are late because they’re with other patients, had an emergency, etc. Which yes, can be true. But truth is, most of the time majority of them simply don’t care about your time. I see doctors just chatting away, carelessly as if they don’t have 3 patients who have been waiting for an hour to be seen- AFTER being reminded they have patients ready. The last doctor I assisted would shop online in her office and take her time KNOWING she had patients waiting. (She later got her license revoked and offices shut down for insurance fraud)-not a surprise. Most of them are money hungry, do as much as they can to bill your insurance with unnecessary procedures, talk about patients when they leave, they just don’t give a damn. It all just makes me sick. Very seldom have I run into doctors who make it known through their actions that their patients and patients time is valuable. Most do not. I’m tired of everyone being quick to defend them when in reality most of them do not give a f about any of their patients



https://ift.tt/PEgiz26 Submitted September 15, 2024 at 06:35AM by lcashaylove https://ift.tt/od1y6aB

What licenses can you get in Utah with a criminal background?

I know they are more strict about background which makes complete sense. I’m not looking to become a physician or pharmacist, I already know those are out of the picture. My family is full of either healthcare workers or cops, it’s something I grew up with and I found interest in. I had a struggle with mental health when I was just barely an adult and made decisions that will affect my whole life. I have mostly simple misdemeanors, but I do have one felony I spent a few months in jail for (nothing violent, sex or drug related) I quit drinking and dropped old friends to better myself. I’m doing really well now and want to start going to college so I have something to lean back on that’s a little better than the job I have now. I’m super interested in healthcare but ofc there’s roadblocks so I’m looking for something I could do that I might be able to be certified if I explain to the board the changes I’ve made. My thoughts on what I’m most interested in are: Radiology tech Surgical tech Dental assisting/dental hygiene Respiratory therapy Has anyone with a criminal background accomplished any of these? Especially in Utah? I understand I might just have to drop the dream and find a more background friendly career path, just looking if there’s any hope.



https://ift.tt/PEgiz26 Submitted September 15, 2024 at 05:07AM by Public-Detective-842 https://ift.tt/Rj5OUs8

Thứ Bảy, 14 tháng 9, 2024

NPR News: Stranded NASA astronauts say being stuck in space is just part of the job

Stranded NASA astronauts say being stuck in space is just part of the job
Butch Wilmore and Suni Williams revealed what life has been like aboard the International Space Station after problems arose with their Starliner spacecraft, which returned home empty last week.

Read more on NPR

Health insurance

Google obviously isn't going to tell me what the best health insurance is since blue cross blue shield medicaid is absolutely the goddamn worst. Cheap and affordable doesn't mean the best and so far that's what google is defining as the 'the best'. I have never experienced the worst doctors, rude, inexperienced. And I'm from new york. All because my choices are limited. Blue cross themselves have hung up on me mid sentence multiple times before I've been able to actually ask them the questions i needed to, theyve hung up on me when I was crying on the phone after THEY refused to provide my concerta medication that I've been on since I was ten years old, even though my psychiatrist sent letter after letter to them and called them multiple times stating it was a necessary medication for treatment(i don't remember what the professional or proper term for that letter is called even though i had to hear her talk about them multiple times for months since it was a fight that was never won). they refused to continue my migraine treatments and I used to get chronic cluster migraines that last every second of the day every day and we still don't know what caused them. So cheaper doesn't equal quality service. They suck. I need a new insurance provider in illinois and i can't get accurate results from Google, does anyone have any preferences? (I'm aware insurance sucks in general but something has to suck less)



https://ift.tt/eH5shAZ Submitted September 14, 2024 at 12:37AM by Sparrow_malfoy https://ift.tt/DE5Wv3q

Thứ Sáu, 13 tháng 9, 2024

Uh, is this fraud? A HIPAA violation? Or just get on with my life?

So, I got a creepy box in the mail I hadn't ordered from a company called "Exact Sciences" and it has "Exempt Human Specimen" written on the side. Creepy. Google tells me:

  1. This is a cologuard kit
  2. Users have posted about having been harassed by this company about completing the test
  3. Posts about high false positive rates exist
  4. Posts exist of users getting a positive result, scheduling a followup colonoscopy, and insurance then declining to cover it because it is now "diagnostic". Posts also exist reporting that this is no longer true in some states or possibly anywhere due to an A.C.A provision.

My "scam detector" alarm is starting to go off. Maybe this is legit, maybe not, but how did they get my name and number? I want to know who gave them my personal information without permission. So I called them and was told that this is a prescription test kit that had been ordered by CareFirst (my insurance company). So now it seems that a doctor I've never met or been examined by wrote a prescription I didn't request. This is starting to sound like medical fraud and/or malpractice. They told me the name of the physician that wrote the prescription but refused to give me his license #. They also declined to give me a pharmacy license #, which I would think they'd require if they're going to be filling prescriptions. I called CareFirst. They admit they requested the kit but the representative did not think it required a prescription. They say they sent me an "opt-out" letter in the mail. Maybe that makes this whole thing barely legal.

Recap:

  1. Insurance company sends "opt-out" letter (or so they claim) and receives no response.
  2. CareFirst (according to Exact Sciences) has Dr Raphael O******e create a prescription, which he does without ever meeting or examining me.
  3. CareFirst sends the prescription to be filled by a non-pharmacy and gives them my personal information without my consent.
  4. Both companies refuse to provide me with a copy of the prescription.

So, does this sound like fraud or a HIPAA violation to anyone? Or do I just make peace with my Insurance company giving out my info to whomever wants to send me medical waste via UPS?



https://ift.tt/UvXGwWf Submitted September 13, 2024 at 05:20AM by hberg32 https://ift.tt/Yur0hUO

Insurance MUST READS

Hey all, I feel it necessary to share these articles here so we can be educated about what is going on. Please take the time to read them and share them with EVERYONE! Professional or not-This is important!

https://clearhealthcosts.com/blog/2024/08/unitedhealthcare-delays-mental-health-payments-causing-outrage/?mc_cid=0f8d63efce

https://projects.propublica.org/why-i-left-the-network/



https://ift.tt/UvXGwWf Submitted September 13, 2024 at 12:34AM by zmanjr11 https://ift.tt/g71rUEL

Thứ Năm, 12 tháng 9, 2024

NPR News: Citizen scientists are hunting moths in Montana for climate change studies

Citizen scientists are hunting moths in Montana for climate change studies
Insects are great indicators of climate change because they’re the first animals to leave when temperatures change. But a lot about them remains unknown, citizen scientists are helping change that.

Read more on NPR

Support worker problems (UK)

I’m a support worker and I was told by my manager (who recently quit due to similar bad office politics) that his assistant manager was going to quit and he’d like me to be his next assistant manager. I was really exited and told one of my coworkers. This coworker has gone and told another coworker who has then gone to the area manager and reported me for it. I’ve got a disciplinary meeting on Monday and I’m pretty sure I’m going to be sacked.

I’ve been at my company for 1 year so I don’t get the unfair dismissal protections that people who have been there for 2 years get. I’ve contacted my union (Unison) who agree it’s completely ridiculous and likely malicious but because my company refuse to recognise unions I can’t have representation in the meeting (I’ve got to instead have a manager that I don’t know from another service there to support me).

I really don’t know what to do at all. Has anyone got a clue.



https://ift.tt/z2d7BcL Submitted September 12, 2024 at 12:43AM by OrdinaryAgency2001 https://ift.tt/ZU3Lqcn

Thứ Tư, 11 tháng 9, 2024

Why do people still think they do not need insurance in 2024 or that it's a scam?

I'm just wondering why people in this day and age think health insurance is a scam? I had a serious bicycle accident 2 weeks ago, and while I'm recovering, the ambulance bill and hospital bills are just starting to trickle in. Insurance says they were billed $78,500 so far for this event.

I was only in the hospital for 30 hours. They did some CT scans, and I had a concussion, minor brain bleed that went away after a few hours, and had a fracture to one of the occipital condyles.

How can anyone not afford insurance if an ambulance ride costs $78,000?



https://ift.tt/iQeBqJN Submitted September 11, 2024 at 12:01AM by f00dl3 https://ift.tt/naFxcf6

Thứ Ba, 10 tháng 9, 2024

Thứ Hai, 9 tháng 9, 2024

NPR News: Climate change is coming for your wine

Climate change is coming for your wine
In California's Napa Valley, the nation's unofficial wine capital, one varietal reigns supreme: cabernet sauvignon. But climate change is threatening the small blue-black grapes for which cabernet sauvignon is named. Increasingly severe heat waves are taking a toll on the grape variety, especially in late summer during ripening. To kick off NPR's Climate Solutions Week, climate correspondent Lauren Sommer joins host Regina G. Barber for a deep dive into the innovations wineries are actualizing — and the ways that cabernet farmers and fans alike could learn to adapt. Climate change is affecting our food, and our food is affecting the climate. NPR is dedicating a week to stories and conversations about the search for solutions. Interested in hearing more climate solutions? Email us at shortwave@npr.org.

Read more on NPR

Dear doctors, I am begging you to do something about the PE takeover of healthcare in the US. It’s not only screwing you over, it’s screwing all patients over too

*Doctors and all other medical professionals

Only the cruel American system tries to rob people when they’re at their weakest. This is one of the most important issues to me personally and politicians from both sides are ignoring the problem as usual. I can’t rely on them anymore



https://ift.tt/wvmTL8p Submitted September 09, 2024 at 03:25AM by Climhazzard73 https://ift.tt/n5z70EO